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General NPI Number Information
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NPI Number | 1366615619
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Entity Type | Organization
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Legal Business Name | MUSLIMAT AL-NISAA INC
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 5115 LIBERTY HEIGHTS AVE
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City | BALTIMORE
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State | MD
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Zip | 21207-7056
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Country | US
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Telephone | 410-466-8686
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Fax | 410-466-5949
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Provider Business Mailing Address
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Address Line | 4107 SPRINGDALE AVE
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City | BALTIMORE
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State | MD
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Zip | 21207-7513
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Country | US
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Telephone | 410-466-8686
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Fax | 410-466-5949
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ASMA HANIF
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Credential | RN
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Telephone | 410-466-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R093471
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R136864
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R133804
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H0061034
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License Number State | MD
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